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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/6/2014 <br /> Submitted on: 9/29/2014 1:22:52PIM <br /> Submitted by: Chris Baker Email: Chris.Baker@stericycle.com CERS IID: 10532392 <br /> Facility ID in CERS: FA0016311 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001693 <br /> Owner name Ross Dress For Less Inc. Ross Dress For Less Inc. <br /> Mailing address 5130 Hacienda Dr 5130 Hacienda Dr 111 <br /> Dublin, CA 94568-7579113Dublin, CA 94568-7579 114, 115 11e <br /> Wrk phone 925-965-4831 925-965-4831 <br /> 112 <br /> FACILITY FILE INFORMATION' <br /> Facility ID FA0016311 <br /> Facility name DD'S DISCOUNTS #5011 dd's Discounts#5011 <br /> Site address 1120 E HAMMER LN 1120 E. Hammer Lane3 <br /> City STOCKTON Stockton 103 <br /> Zip code 95210 95210 104 <br /> Facility phone 209-474-6984105 <br /> 209-474-6984 102 <br /> Facility mailing address 5130 HACIENDA DR 3RD FLOOR 5130 Hacienda Dr <br /> 108a <br /> DUBLIN, CA 94568-7579 Dublin, CA 94568-7579 108b,108c.10E <br /> BILLING INFORMATION <br /> Contact name DD'S DISCOUNTS#5011 Sean Hewitt 140 <br /> Address 5130 HACIENDA DR 3RD FLOOR 5130 Hacienda Dr 143 <br /> DUBLIN, CA 94568-7579 Dublin, CA 94568-7579 144, 145, 14F <br /> Contact phone Not Specified 925-965-4113 141 <br /> Contact email sean.hewitt@ros.com 142 <br /> Mai[ invoices to Facility f� <br /> Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRA HW New PR#: "3 aS 3 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br /> New PE; '22 2-v <br /> Assigned to: e F <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: rr -I Date: <br /> Accounting: Reviewed by: _ Dater Clerical: [ File [ ] Relabel file Create new file <br /> _[ ] A�ifled [ ] Surchar veri ed By: [Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1620-RETAIL MKT 26-300 SQ ET(INCIDENTAL FOODS) PR0524319 STEPHANIE RAMIREZ Active [ ] [ I <br />